Luxottica Retail North America INC
Eyewear Supplier (Equipment, not the service) in Mcdonough, GA. Organization (NPI-2).
NPI number1891846549
StatusActive
Last updated in NPPESNov 13, 2009
Details
- NPI
- 1891846549
- Entity type
- Organization (NPI-2)
- Legal business name
- Luxottica Retail North America INC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Nov 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Other names
- Target Optical #c4310 (Doing Business As)
Practice location
1850 Jonesboro RdMcdonough, GA 30253-5960
Phone 678-583-8787
Mailing address
4000 Luxottica PlAttn Medicare Dept
Mason, OH 45040-8114
Phone 678-583-8787
Authorized official
Wendy Uhls
Medicare Administrator
5137653534
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